Goldenberg, Richard

Goldenberg, Richard is an individual health care provider with primary practice located at 1510 Division Street Suite 200, Oregon City OR 97045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Goldenberg, Richard can be contacted via phone (503) 650-6880.

Contact Information

Primary practice address
1510 Division Street Suite 200 Oregon City OR 97045
Fax: (503) 650-6888
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD19046 Oregon

Profile Details

NPI number 1750474490
LBN Legal business name Goldenberg, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 23rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750474490 NPPES
Oregon MEDICAID 067983
Oregon Other P00821466

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